2505 Hwy 601Sti
yo
�! 4 +,'; • - DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION �,NdL
*NOTE: Issued in Compliance With Article II of G.S. Chapter 130a
Sanitary Sewage Systems Permit Numbe/JV Name f' � ' /n', Date "�.1�_' � N2 G 2 8 3
Locati
1 .tc�n
Subdivision Name Lot No. Sec. or Block No. i
Lot Size e; yx House Mobile Home Business'_— Speculation
�i
No. Bedrooms No. Baths— No. in Family W7
Garbage Disposal YES p NO EJ—Specifications for .System:
Auto Dish Washer YES❑ NO
Auto Wash Machine YES NO
Type Water Supply
*This permit Void if sewage system described below isnot installed within 5 years from date of issue. .
This permit is subject to revocation if site plans or the intended use change.
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by ✓ rf �%
/l'D__._...._– ----
DAG
f
Certificate of Completion Date
*The signing of this certificate shall ,indicate that -the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
LICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Departmentell
y Environmental Health Section
P. 0. Box 665
Mockoville, NC 27028
Pe
L. Application/Permit Requested By mr\ l wy.
Mailing Address �T. �( ��, �CCil`le �� GLI
Home Phone ,feA7i_�-D,,= Business Phon,041 s- yda3
2. Name on Permit if Different than Above
3. Property Owner if Different than Above
4. Application/Permit For: 0 General Evaluation r S/Tank Installation
5. System to Serve: House r Mobile Home (] Business
0 Industry u Other 0 Unknown
6. If house, mobile home: Subdivision Sec. Lot#
No. of People Dwelling Dimensions gen sf'nal-e, );dam.
No. of BedroomsJ Basement/Plumbing
No. of Bathrooms 1 ` Basement/No Plumbing
Washing Machine J Dishwasher 0 Garbage Disposal
7. If business, industry, other: Specify type
No. of People Served
No. of Commodes
No. of Lavatories
No. of Showers
No. of Sinks
No. of Urinals
No. of Water Coolers
S. Type of water supply: % Public 0 Private 0 Community
9. Property Dimensions���
10. Sewage Disposal Contractor
11. Do you anticipate additions/expansions of the facility this system is
intended to serve? [] Yes g No
If yes, what type?
*NOTE: Improvements Permits shall be valid for a period of 5
years from date issued. Improvements Permits are subject
to revocation, if site plans or the intended use change.
Effective October 1, 1989.
This is to certify that the information provided is correct to the
best of my knowledge, and I understand I am responsible for all
charges incurred from this application.
2,////q/ - 41r,�", �L�p aal
Date Signature
Directions to Property:
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be�e-e 4'0k C�e,� �1v e�P�risy cC)P-nee
N &aj
DCHD (10-89)
DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
/� Soil/Site Evaluation /
NAME l,S DATE EVALUATED 09 -/-f
ADDRESS PROPERTY SIZE o1 !-,Z,
PROPOSED FACIILTY /TI. 11Y - LOCATION OF SITE
Water Supply: On -Site Well Community Public !�
Evaluation By: Auger Boring Pit Cut
FACTORS 1
2 3 4
Landscape position L7
L 4
Sloe Z 1117-
A
HORIZON I DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON II DEPTH
-y
Texture group
Consistence
Structure
Mineralogy/.
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
7ft 73
LONG-TERM ACCEPTANCE RATE
,
SITE CLASSIFICATION: AT
LONG-TERM ACCEPTANCE RATE: /
REMARKS:
DCHD(01-901
EVALUATED BY:
OTHER(S) PRESENT:
LEGEND
Landscape Position
R -Ridge S -Shoulder L -Linear slope FS-Footslope N -Nose slope
CC -Concave slope CV -Convex slope T -Terrace FP -Flood plain H -Head slope
Texture
S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt
SICL-Silty clay loam, SIL -Silty loam CL -Clay loam SCL-Sandy clay loam
SC -Sandy clay SIC -Silty clay C -Clay
CONSISTENCE
Moist
VFR-Very friable FR -Friable FI -Firm VFI-Very firm EFI-Extremely firm
Wet
NS -Non sticky SS -Slightly sticky S -Sticky VS -Very Sticky
NP -Non plastic SP -Slightly plastic P -Plastic VP -Very plastic
Structure
SC,Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky
SBK-Subangular blocky PL -Platy PR -Prismatic
Mineraloey
1:1, 2:1, Mixed
Notes
Horizon depth - In inches
Depth of fill - In inches
Restrictive horizon Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil wetness- Inches from land surface to free watef or inches from land surface to soil colors
with chroma 2 or less
Classification - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
■EMM■
■MEE■
■■■■■
MESO■
Parcel #: L514OA0007
Davie County, NC - Basic Estate Search,
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Parcel #: L5140A0007
Account #:24138000
Owner Information
Building.,
Tax Codes
BXF:
ELLIS KEVIN BRUCE
Land:
ADVLTAX - COUNTY TA
Market:
5p5 US HIGHWAY 601 SOUTH
ssessed:
FIREADVLTAX - FIRE TAX
Deferred
MOCKSVILLE NC 27028
Property Information
Township
Land (Units/Type): 0.950 AC
JERUSALEM
ddress: 2505 S US HWY 601
Deed Information
Local Zoning
Date: 10/1999 Book: 00315 Page: 0632
Plat Book: 0003 Page: 015
Le al Description
PIN
LOTS 15-20 SAM FOSTER
5746425082
Property Values
Building.,
11311
BXF:
1401
Land:
16,99CI
Market:
130,2401
ssessed:
130,24CI
Deferred
Sales Information
No. Book Page Month Year Instrument Qual/UnQual Improved , Price
1 00315 0632 10 1999 WD Unqualified Improved 0
View Property Record for this Parcel View Map for this Parcel View Tax Bill Information
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All Information on this site is prepared for the inventory of real property found within Davie County. All data is compiled from recorded deeds,
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If you have any questions about the data displayed on this website please contact the Davie County Tax Office at (336) 753-6120.
1.5.9
http://maps.daviecountync.gov/itsnet/View.aspx?prid=1472400 7/19/2016